Individual
NUKITABONG ACHALEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5700 SILK TREE DR, RIVERDALE, MD 20737-3512
(407) 360-8672
Mailing address
5700 SILK TREE DR, RIVERDALE, MD 20737-3512
(407) 360-8672
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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